Primary progressive aphasialogopenic type

• Autor(a) principal: Neri, Vanderson Carvalho
• Data de Publicação: 2015
• Outros Autores: Schmith, Pedro Mercante, Dias, Marcia, Soares, Yasmin Barreto, Aguiar, Thiago, Marques, Jéssica
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/39
• topic: afasia progressiva primária; logopenia; diagnóstico diferencia; primary progressive aphasia; logopenic; differential diagnosis

Primary Progressive Aphasia (PPA) is an insidious neurodegenerative syndrome, which mainly affects language, whose deterioration is progressive. The initial presentation is the difficulty of appointment, as in the early stages of Alzheimer’s disease (AD). Objectives: Report a case of APP in logopenicform, conduct a review of the specialized literature. Discuss the importance of correct diagnosis and differential diagnosis. Case Report: 74 yersold woman, previously healthy, maintaining their daily activities started having difficulty to recognize and name the household objects. Family report worsening in recent memory in this period, with episodes associated confusion. A year after the start of the frame to the patient could not manage more daily activities, requiring assistance for activities which initially played alone. During this period he was diagnosed with AD. Clinical presentation worsened over the months, with worsening of interaction, appointment, little fluent speech, repeating with difficulty what is asked to speak. MRI shows atrophy in frontotemporal region left. Conclusions:Logopenic form of APP, patient aspect in question, manifests itself with some fluent speech, with a slow pace and with long pauses anomic, as the beginning of the frame. The repetition and understanding to more complex grammatical structure of sentences are disturbed, but preserved for single words. There may be limited and highly expressed difficulty in understanding the word, which was observed in this patient after two years of clinical evolution. The main differential diagnosis is AD.